心理护理干预在维持性血液透析患者中的应用效果

Application effect of psychological nursing intervention in maintenance hemodialysis patients

目的探讨心理护理干预在维持性血液透析(MHD)患者中的应用效果。方法选择2015年6月~2017年1月在我院接受MHD治疗的慢性肾衰竭(CRF)患者248例,随机分为干预组和对照组,每组各124例。患者入院第1次MHD前及出院时给予焦虑自评量表(SAS)和抑郁自评量表(SDS)评估患者心理状态,观察患者治疗依从性。结果干预前,两组SAS评分及SDS评分比较,差异无统计学意义(P>0.05)。干预后两组SAS及SDS评分均明显降低,且干预组SAS及SDS评分明显低于对照组,差异有统计学意义(P<0.01)。干预组的依从性情况优于对照组,差异有统计学意义(P<0.01)。结论对MHD患者实施心理护理干预,可改善患者的情绪和健康状况,提高患者的治疗依从性。

Objective To investigate the application effect of psychological nursing intervention in maintenance hemodialysis（MHD） patients. Methods A total of 248 patients with chronic renal failure（CRF） who received MHD treatment in our hospital from June 2015 and January 2017 were randomly divided into intervention group and control group, 124 cases in each group. The self-rating anxiety scale（SAS） and the self-rating depression scale（SDS） were used to assess the patient′s psychological state before first MHD after being admitted to hospital and being discharged.The treatment compliance was observed. Results Before intervention, there was no significant difference in SAS or SDS score between the two groups（P〉0.05）. After the intervention, both SAS and SDS scores significantly decreased, and the SAS and SDS scores in the intervention group were significantly lower than those in the control group, with statistical significance（P〈0.01）. The treatment compliance of the intervention group was better than that of the control group（P〈0.01）. Conclusion The implementation of psychological nursing intervention in MHD patients can improve their emotional and health status, as well as patient′s treatment compliance.